15D0687311 CLIA NUMBER - RUSH COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D0687311
  • Facility Name: RUSH COUNTY HEALTH DEPARTMENT
  • Facility Address: ROOM 5 COURT HOUSE
    RUSHVILLE, IN
    ZIP 46173
  • Facility Phone: 317 932-3103
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: RUSSELL DAUGHERTY
  • NPI Number: 1821176033
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 15D0687311
LAB Type Other
Facility Name RUSH COUNTY HEALTH DEPARTMENT
Street ROOM 5 COURT HOUSE
City RUSHVILLE
State IN
ZIP 46173
Phone 317 932-3103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other
Lab Director RUSSELL DAUGHERTY

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This page was last updated on: 9/29/2025